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Felbamate Drug Level

Florida rates for HCPCS 80167

Measures how much felbamate, a medicine used to control difficult epilepsy, is present in a blood sample. The level is checked to confirm the dose is in a useful range, particularly when seizures continue or when other medicines that interact with it are started or stopped.

Rates data updated July 2026.

How much does Felbamate Drug Level cost?

$13.18

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $34.67 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$11.22 to $13.18
FacilityA hospital or hospital-owned outpatient department$34.67$16.22 to $54.95

How much rates vary

Facilitymedian $35 · 10th to 90th $13 to $100Professionalmedian $12 · 10th to 90th $11 to $15
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $35professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$44.67
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.02
Typical High
$14.45
AvMed
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$18.62
Typical High
$21.88
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$14.45
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$18.20
Typical High
$34.67
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$21.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$16.60
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.76
Typical High
$18.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$18.62

Where Florida sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $13.18 · 50th of 51
ND $28.18CT $12.30

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.